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1386189306
ROBIN RUTHERFORD
POCATELLO, ID
NPI
1386189306
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ID N16A00147165)
Enumeration Date
2016-12-29
Last Update Date
2016-12-29
Business Address
-- ROBIN RUTHERFORD COTA
527 MEMORIAL DR
POCATELLO, ID 83201-4063
Phone number: 208-478-3333
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Mailing Address
-- ROBIN RUTHERFORD COTA
1936 E CENTER ST
POCATELLO, ID 83201-3309
Phone number: 208-965-1071
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